Baby Class Application

Child's Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Phone *

Main Contact

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

BABY & PARENT CLASS OPTIONS *

The non-refundable application fee of $75

Baby Bee’s – 3 months to 7 months

Bumble Bee’s Baby class – 8 months to 12 months

Beginnings - 13 months to 20 months old

Young 2's - 21 months to 24 months old

Todays Date

MM

DD

YYYY

Signature

First Name

Last Name